Managing Stomach Issues: Insights on Medication and Gastrointestinal Health

Q: Managing Stomach Issues: Insights on Medication and Gastrointestinal Health

Hello： 1. <br>If there is no improvement, you can return for a consultation, where the physician will assess whether a colonoscopy is necessary or if you should consider a self-paid colonoscopy as part of an advanced health check-up. <br>2. <br>Taking gastric medication for a yea

Medication Consultation for Gastrointestinal Issues

Hello Doctor: Over a year ago, I experienced discomfort in my stomach and was diagnosed with Helicobacter pylori, for which I underwent eradication therapy and confirmed successful treatment.
However, since then, I have frequently experienced bloating.
Although it alleviates somewhat after passing gas or burping, the bloating occurs often.
Over the past year and a half, I have regularly visited a gastroenterologist and taken medication.
When I am on medication, my symptoms improve significantly, but they tend to recur about 1 to 2 weeks after stopping the medication.
In January of this year, I underwent an upper endoscopy and an abdominal ultrasound.
The ultrasound appeared normal, but the endoscopy revealed mild gastroesophageal reflux and mild gastritis.
The doctor advised me that spicy and fried foods could exacerbate inflammation, so I have avoided spicy foods and minimized fried foods over the past year and a half.
I would like to ask the doctor: Is there a need for a colonoscopy? Additionally, what should I be aware of regarding long-term use of gastric medications over this year and a half? Is there a risk of developing gastric cancer? During this period, I have taken a variety of gastric medications, including Neons for a full month.
Most doctors have prescribed the following medications: Gastrocaps, Sucralfate, Rabeprazole, and various other recent prescriptions such as Acetaminophen, Omeprazole, and coated tablets.

Dai Dai, 20~29 year old female. Ask Date: 2022/09/25

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
If there is no improvement, you can return for a consultation, where the physician will assess whether a colonoscopy is necessary or if you should consider a self-paid colonoscopy as part of an advanced health check-up.
2.
Taking gastric medication for a year and a half should not be considered long-term, so there is no need to worry excessively at this point.
However, once you improve, it is still recommended to discontinue use.
3.
Based on your medication, it seems you have used antispasmodics, which suggests the possibility of gastrointestinal spasms.
It is advisable to consult a clinical physician for evaluation.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2022/09/25

More Info

Managing stomach issues, particularly after a history of Helicobacter pylori infection and subsequent treatment, can be quite challenging. Your experience with persistent bloating and the cyclical nature of your symptoms, where they improve with medication but return after discontinuation, is not uncommon among individuals with gastrointestinal disorders.
Firstly, it's important to understand that the medications you have been prescribed, such as proton pump inhibitors (PPIs) and other antacids, are designed to reduce stomach acid and help heal the stomach lining. While they can be effective in managing symptoms of gastritis and gastroesophageal reflux disease (GERD), long-term use of these medications can lead to several considerations.
1. Long-term Medication Use: Prolonged use of PPIs has been associated with potential risks, including nutrient malabsorption (such as magnesium, calcium, and vitamin B12), increased risk of gastrointestinal infections, and possibly an increased risk of gastric cancer, particularly in patients with a history of chronic gastritis or atrophic gastritis. Therefore, it is crucial to have regular follow-ups with your healthcare provider to monitor your condition and adjust your treatment plan as necessary.

2. Need for Colonoscopy: Regarding your question about whether you need a colonoscopy, this decision typically depends on several factors, including your age, family history of colorectal cancer, and any new or concerning gastrointestinal symptoms (such as changes in bowel habits, blood in stool, or unexplained weight loss). Since you have been experiencing gastrointestinal symptoms for an extended period, it may be prudent to discuss this with your gastroenterologist. They can assess your overall risk and determine if a colonoscopy is warranted.

3. Dietary Considerations: You mentioned avoiding spicy and fried foods, which is a good strategy for managing gastritis and GERD symptoms. Additionally, consider incorporating a diet rich in fiber, which can help regulate bowel movements and reduce bloating. Foods such as whole grains, fruits, vegetables, and legumes can be beneficial. Staying hydrated and avoiding carbonated beverages may also help alleviate bloating.

4. Monitoring Symptoms: Keeping a symptom diary can be helpful. Note when symptoms occur, what you eat, and any medications taken. This can help identify potential triggers and patterns in your gastrointestinal health.

5. Alternative Therapies: If you find that medications are not providing long-term relief, you might want to explore other options such as probiotics, which can help restore gut flora balance, or herbal remedies that some patients find beneficial. However, always consult with your healthcare provider before starting any new treatment.

6. Regular Check-ups: Given your history and ongoing symptoms, regular check-ups with your gastroenterologist are essential. They can perform necessary tests, such as endoscopies or imaging, to monitor your condition and make informed decisions about your treatment plan.

In summary, while managing stomach issues can be frustrating, a comprehensive approach that includes medication management, dietary adjustments, regular monitoring, and open communication with your healthcare provider can help you achieve better gastrointestinal health. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

Similar Q&A

Understanding Chronic Digestive Issues: Insights from a Gastroenterologist

I usually experience diarrhea due to stomach acid. I would like to consult a physician.

Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Treatment can be discussed from three different perspectives: 1. Lifestyle modifications: 1. Dietary content and patterns: It is recommended to eat smaller, more frequent meals and avoid high-fat foods. The following foods should be avoided: chocolate, mint, coffee, onions,...

Persistent Digestive Issues: Understanding and Managing Diarrhea Symptoms

Hello doctor, I have been experiencing gastrointestinal discomfort for the past week, with symptoms including stomach pain, nausea, and diarrhea. I have been having diarrhea every day, sometimes more than five times, and I feel the urge to use the restroom shortly after eating, w...

Dr. Hu Guozheng reply Gastroenterology and Hepatology
Based on your description, you have seen a doctor and taken medication, but your condition has not improved. Please return for a follow-up consultation with your original physician. Thank you.

Managing Long-Term Gastrointestinal Issues: Nutritional Supplements for Relief

Hello Dr. Liu! I have been struggling with gastrointestinal issues for a long time. Since childhood, I have frequently experienced various gastrointestinal problems. In the past, I had excessive stomach acid that led to abdominal pain, prompting me to undergo an endoscopy, but no...

Dr. Liu Nanshan reply Gastroenterology and Hepatology
The phenomenon of excessive stomach acid, bloating, and persistent belching, with normal findings on endoscopy, is likely what gastroenterologists refer to as non-ulcer dyspepsia. It is advisable to reduce the intake of sweets, high-fat foods, and legumes. In severe cases, short-...

Managing Gastritis: Dietary Tips and Medical Advice for Relief

Hello, doctor! Recently, I had an endoscopy due to stomach pain, and the results showed inflammation in the stomach and duodenum. However, the physician only prescribed gastric medication to be taken before and after meals, without any anti-inflammatory medication. I believe this...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Dear Shell, 1. Nonsteroidal anti-inflammatory drugs (NSAIDs) are not suitable for the stomach and duodenum, as they may worsen symptoms (anti-inflammatory pain relievers can trigger ulcers). 2. If gastritis is caused by Helicobacter pylori, specific antibiotic treatment can be c...